Provider Demographics
NPI:1891671632
Name:KSCARES
Entity type:Organization
Organization Name:KSCARES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KUDAKWASHE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHUMBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-969-7377
Mailing Address - Street 1:6355 STONEHENGE BLVD
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TWP
Mailing Address - State:OH
Mailing Address - Zip Code:45044-9786
Mailing Address - Country:US
Mailing Address - Phone:513-969-7377
Mailing Address - Fax:
Practice Address - Street 1:6355 STONEHENGE BLVD
Practice Address - Street 2:
Practice Address - City:LIBERTY TWP
Practice Address - State:OH
Practice Address - Zip Code:45044-9786
Practice Address - Country:US
Practice Address - Phone:513-969-7377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty